TRAKEA LASERASYONLARINDA HER ZAMAN CERRAH� GEREKL� M�?: OLGU SUNUMU

YAZGAN, Serkan; G�RSOY, Soner; ��VET, Ahmet; YA�CI, Tar�k

Cilt : 37 Say� : 3 Y�l : 2023

37/3Son Say� Erken Bask� Ar�iv Pop�ler Makaleler

Yazar Katk� Formu

TRAKEA LASERASYONLARINDA HER ZAMAN CERRAH� GEREKL� M�?: OLGU SUNUMU [G��s Hastanesi Dergisi]

G��s Hastanesi Dergisi. 2017; 31(2): 121-124

TRAKEA LASERASYONLARINDA HER ZAMAN CERRAH� GEREKL� M�?: OLGU SUNUMU

Serkan YAZGAN¹, Soner G�RSOY¹, Ahmet ��VET¹, Tar�k YA�CI¹
�zmir Dr. Suat Seren G��s Hastal�klar� ve Cerrahisi E�itim ve Ara�t�rma Hastanesi, G��s Cerrahisi, �zmir, T�rkiye

Ent�basyona ba�l� trakeal laserasyon nadir g�r�len bir komplikasyon olmakla birlikte, iyi y�netilemeyen olgularda morbid yada mortal seyredebilmektedir. Bu nedenle erken tan� ve tedavinin y�netimi �nem ta��maktad�r. Toraks d�� bir neden ile bir ba�ka merkezde opere edilen 46 ya��nda kad�n hastada, ekst�basyon sonras� y�z ve boyunda cilt alt� amfizemi geli�mesi �zerine, toraks bilgisayarl� tomografisi (BT) �ekilmi�. Ard�ndan sa� t�p torakostomi uygulan�p 3 g�n sonra sonland�r�lm��. Bir haftal�k takibi sonras� cilt alt� amfizeminin gerilememesi �zerine, ileri tetkik ve tedavi amac� ile g��s cerrahisi klini�imize sevki yap�lm��. Belirtildi�i gibi trakea laserasyonlar�nda erken tan� halinde uygulanacak tedavi acil cerrahi olsa da, tan�s� gecikmi� olan bu olguya �zel olarak uygulanan tedavi y�netimi literat�r verileri e�li�inde tart��lm�� ve sunulmu�tur.

Anahtar Kelimeler: Trakea, laserasyon, ent�basyon, cilt alt� amfizemi, mediastinal amfizem

IS SURGERY ALWAYS NECESSARY FOR TRACHEAL LACERATION: CASE REPORT

Although tracheal laceration due to entubation is a frequent complication, it might be morbid and mortal without a good management. Therefore early diagnosis and treatment is important. A 46 year old female was operated for an extrathoracic disease. She was investigated with chest computed tomography (CT) because of emphysema after extubation at her face and neck. A chest tube was inserted and removed at the 3rd day. After her follow up of 1 week, due to the lack of any regression of emphysema, she was referred to our department for futher investigation and management. As it is mentioned, although in case of early diagnosis the treatment of tracheal laceration is surgery, specifically to this late diagnosed patient the management of treatment is discussed under the light of the literature.

Keywords: Trachea, laceration, intubation, subcutaneous empyhsema, mediastinal emphysema

Makale Dili: T�rk�e

ATIF KOPYALA

Tam Metin PDF At�f dosyas� indir RIS EndNote BibTex Medlars Procite Reference Manager Benzer makaleler PubMed Google Scholar